Prevalence, trend and outcome of twin pregnancy in Rivers State University Teaching Hospital, Southern Nigeria

Authors

  • Felix Chikaike Clement Wekere Department of Obstetrics and Gynecology, Rivers State University Teaching Hospital, Rivers State, Nigeria
  • Dickson H. John Department of Obstetrics and Gynecology, Rivers State University Teaching Hospital, Rivers State, Nigeria
  • Gift A. F. Clement-Wekere Department of Paediatrics and Child Health, University of Port Harcourt, Rivers State, Nigeria
  • Rose S. Iwo-Amah Department of Obstetrics and Gynecology, Rivers State University Teaching Hospital, Rivers State, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20212641

Keywords:

Twins, Multiple gestation, Prevalence, RSUTH, Nigeria

Abstract

Background: Multiple pregnancy is a high-risk pregnancy associated with a higher maternal and perinatal complications compared to singleton pregnancy. Twinning is the commonest form of multiple pregnancy, and its prevalence varies across the globe, with lowest value in Japan and highest in Nigeria.

Methods: The aim of the study was to review twin births in Rivers State University Teaching Hospital (RSUTH), to determine its prevalence, trend, and management outcome.

Results: During the period under review, there were 13516, and 263 twin births, giving the prevalence of twinning in RSUTH as 19.5 per 1000 live births or 1 in 51 deliveries. The rate of twinning increased from 7.6 per 1000 deliveries in 2015 to 35.7 per 1000 deliveries in 2019. Mean age of patients was 31 SD 4.82 years, 95% CI: 30.42, 31.59, and modal age group was 30-34 years. Patients’ parity ranged from 0 to 7 with modal parity being para-1. Majority (51.7%) had secondary level education, and were Christians. Preterm delivery rate was 62.4%. The mean gestational age at delivery was 35.7 SD 2.9 weeks, 95% CI: 35.3, 36.0. The mean birth weights of the first and second twins were 2.39 SD 0.67 and 2.30 SD 0.69 respectively. Majority (92%) of the foetuses were alive at birth. Still birth and perinatal mortality rate were 4.2 and 7.8 per 1000 live births. There was no case of maternal mortality.

Conclusions: The rate of twining in our setting is high, with an increasing trend. Most of the parturient had preterm delivery, and improved perinatal care services would ensure best perinatal outcome.

 

References

Upreti P. Twin pregnancies. Incidence and outcomes in a tertiary health centre of Uttarakhand, India. Int J Reprod Contracept Obstet Gynecol. 2018;7:3520-5.

Kilby MD, Oepkes D. Multiple pregnancy. In: Keith ED, Lees C, Bourne T, eds. Dewhurst's Textbook of Obstetrics and Gynaecology. 9th ed. London: John Wiley and Sons Ltd; 2018: 281-293.

Wei J, Wu QJ, Zhang TN, Shen ZQ, Liu H, Zheng DM, et al. Complications in multiple gestation pregnancy: a cross-sectional study of ten maternal-fetal medicine centers in China. Oncotarget. 2016;7(21):30797.

Dimejesi IB, Agwu U, Emeka IEN. Multiple Pregnancy. In: Umeora OUJ, Onyebuchi AK, Ezeonu PO, eds. Our Teachers-A comprehensive Textbook of Obstetrics and Gynaecology. Abakaliki: St. Benedict Printing and Publishing; 2017: 159-164.

Nkyekyer K, Bonsafo K. Multiple pregnancy. In: Kwawukume EY, Ekele BA, Danso KA, Emuveyan EE, eds. Comprehensive Obstetrics in the Tropics. 2nd ed. Accara-North: Assemblies of God literature Centre Ltd; 2015: 207-216.

Santana DS, Silveira C, Costa ML, Souza RT, Surita FG, Souza JP, et al. Perinatal outcomes in twin pregnancies complicated by maternal morbidity: evidence from the WHO Multicountry Survey on Maternal and Newborn Health. BMC Pregnancy Childbirth. 2018;18(1):449.

Okunade KS, Daramola E, Adenekan M, Sekumade A, Ajepe A, Osanyin GE. Review of twin deliveries and fetomaternal outcomes in a Tertiary Hospital in Lagos, Southwest Nigeria. The Nigerian J General Practice. 2018;16(1):6.

Santana DS, Surita FG, Cecatti JG. Multiple Pregnancy: Epidemiology and Association with Maternal and Perinatal Morbidity. Rev Bras Ginecol Obstet. 2018;40(9):554-62.

Lawal AM, Atabo POD, Abdurrahman A. Twin pregnancies at federal medical centre Katsina: A 5 year review. Tropical J Obstet Gynaecol. 2019;36(2):183-8.

Wang AY, Safi N, Ali F, Lui K, Li Z, Umstad MP, Sullivan EA. Neonatal outcomes among twins following assisted reproductive technology: an Australian population-based retrospective cohort study. BMC Pregnancy Childbirth. 2018;18(1):1-7.

Attah RA, Mohammed Z, Gobir M. A review of twin deliveries in Aminu Kano Teaching Hospital, North-west Nigeria. Nigerian J Basic Clinical Sci. 2014;11(1):3.

Aduloju OP, Olofinbiyi B, Olagbuji BN, Ade OIP, Akintayo A. Obstetric outcome of twin gestations in a tertiary hospital South-western Nigeria. J Maternal-Fetal Neonatal Med. 2015;28(8):900-4.

Akaba GO, Agida TE, Onafowokan O, Offiong RA, Adewole ND. Review of twin pregnancies in a tertiary hospital in Abuja, Nigeria. J Health, Population, Nutrition. 2013;31(2):272.

Ibrahim I, Oyeyemi A, Obilahi A. Twin pregnancies in the Niger Delta of Nigeria. A four-year review. Int J Women's Health. 2012;4:245.

Bassey G, Inimgba NM. Fetomaternal outcome of twin gestation in Port Harcourt, South-South, Nigeria. Niger J Med. 2014;23(4):282-7.

Maduabuchukwu IE, Howell IE. A Review of Twinning in Niger Delta Region, Nigeria. Clinical Med Res. 2018;7(1):18.

Nwankwo TO, Aniebue UU, Ezenkwele E, Nwafor MI. Pregnancy outcome and factors affecting vaginal delivery of twins at University of Nigeria Teaching Hospital, Enugu. Niger J Clin Pract. 2013;16(4):490-5.

Mutihir JT, Aisien AO, Ujah IA. A review of bilateral tubal ligation at caesarean section in Jos, Nigeria. Niger Postgrad Med J. 2007;14(3):252-5.

Smits J, Monden C. Twinning across the Developing World. PLoS One. 2011;6(9):25239.

Iyiola O, Oyeyemi F, Raheem U, Mark F. Frequency of twinning in Kwara State, North-Central Nigeria. Egyptian J Med Human Genet. 2013;14(1):29-35.

Akinseye K, Anifowoshe A, Owolodun O, Aina O, Iyiola O. Frequency of Twinning in Nigeria. A Review. Manila J Sci. 2019;12:78-88.

Murray SR, Stock SJ, Cowan S, Cooper ES, Norman JE. Spontaneous preterm birth prevention in multiple pregnancy. Obstet Gynaecol. 2018;20(1):57.

Abasiattai AM, Umoiyoho AJ, Utuk NM, Shittu DG. Incidence and mode of delivery of twin pregnancies in Uyo, Nigeria. Nigerian Med J. 2010;51(4):170.

Akinboro A, Azeez M, Bakare A. Frequency of twinning in southwest Nigeria. Indian J Human Genet. 2008;14(2):41.

Yakasai IA, Rabiu A. Twins Birth in Kano, Northern Nigeria. IOSR J Pharm. 2013;20(3):1-5.

Downloads

Published

2021-06-28

Issue

Section

Original Research Articles